24 research outputs found

    Influence of communal area grazing management system on the nutritive value of forages selected by cattle in a semi-arid area of Zimbabwe

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    A study was conducted to determine the effect of grazing management system on the nutritive value of forages selected by cattle. Animals were observed while grazing and the grazed samples were collected. The samples were analysed for chemical composition and digestibility. There were significant (P0.05). These findings suggest that grazing schemes tended to compromise the quality of forages selected under poor range conditions, possibly due to limited range resources. The ability of cattle under traditional grazing system to switch effectively among the different range resources might have enhanced the quality of forages selected

    'Kids sold, desperate moms need cash': Media representations of Zimbabwean women migrants

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    The article draws on 575 randomly selected articles from the South African Media database to explore the representation of Zimbabwean women migrants. Using critical discourse analysis (CDA), the article shows that some of the dominant construction types depict a picture of caricatured, stereotypical and stigmatised Zimbabwean migrant women without voice and individuality. In turn, the diversity of their actualities is not captured in the process of constructing the twin images of Zimbabwean women as victims and as purveyors of decadent and other negative social ills in society. We conclude that Zimbabwean women migrants appear in the SA media primarily in three negative images: suppliers of sexual services, as un-motherly, and as victims. We also conclude that there is need for media to capture the voices of migrant women recounting their everyday lived experiences in different political and socio-economic contexts in order to account for the migrant women's voices of resilience, defiance and victimhood and of agency, against the normalising and marginalising influences of political institutions and national border controls. This would also help capture the transformative nature of migration to the women, the 'home' in Zimbabwe and the 'home' in South Africa.IS

    Prognostic model to predict postoperative acute kidney injury in patients undergoing major gastrointestinal surgery based on a national prospective observational cohort study.

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    Background: Acute illness, existing co-morbidities and surgical stress response can all contribute to postoperative acute kidney injury (AKI) in patients undergoing major gastrointestinal surgery. The aim of this study was prospectively to develop a pragmatic prognostic model to stratify patients according to risk of developing AKI after major gastrointestinal surgery. Methods: This prospective multicentre cohort study included consecutive adults undergoing elective or emergency gastrointestinal resection, liver resection or stoma reversal in 2-week blocks over a continuous 3-month period. The primary outcome was the rate of AKI within 7 days of surgery. Bootstrap stability was used to select clinically plausible risk factors into the model. Internal model validation was carried out by bootstrap validation. Results: A total of 4544 patients were included across 173 centres in the UK and Ireland. The overall rate of AKI was 14·2 per cent (646 of 4544) and the 30-day mortality rate was 1·8 per cent (84 of 4544). Stage 1 AKI was significantly associated with 30-day mortality (unadjusted odds ratio 7·61, 95 per cent c.i. 4·49 to 12·90; P < 0·001), with increasing odds of death with each AKI stage. Six variables were selected for inclusion in the prognostic model: age, sex, ASA grade, preoperative estimated glomerular filtration rate, planned open surgery and preoperative use of either an angiotensin-converting enzyme inhibitor or an angiotensin receptor blocker. Internal validation demonstrated good model discrimination (c-statistic 0·65). Discussion: Following major gastrointestinal surgery, AKI occurred in one in seven patients. This preoperative prognostic model identified patients at high risk of postoperative AKI. Validation in an independent data set is required to ensure generalizability

    Effects of fluoxetine on functional outcomes after acute stroke (FOCUS): a pragmatic, double-blind, randomised, controlled trial

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    Background Results of small trials indicate that fluoxetine might improve functional outcomes after stroke. The FOCUS trial aimed to provide a precise estimate of these effects. Methods FOCUS was a pragmatic, multicentre, parallel group, double-blind, randomised, placebo-controlled trial done at 103 hospitals in the UK. Patients were eligible if they were aged 18 years or older, had a clinical stroke diagnosis, were enrolled and randomly assigned between 2 days and 15 days after onset, and had focal neurological deficits. Patients were randomly allocated fluoxetine 20 mg or matching placebo orally once daily for 6 months via a web-based system by use of a minimisation algorithm. The primary outcome was functional status, measured with the modified Rankin Scale (mRS), at 6 months. Patients, carers, health-care staff, and the trial team were masked to treatment allocation. Functional status was assessed at 6 months and 12 months after randomisation. Patients were analysed according to their treatment allocation. This trial is registered with the ISRCTN registry, number ISRCTN83290762. Findings Between Sept 10, 2012, and March 31, 2017, 3127 patients were recruited. 1564 patients were allocated fluoxetine and 1563 allocated placebo. mRS data at 6 months were available for 1553 (99·3%) patients in each treatment group. The distribution across mRS categories at 6 months was similar in the fluoxetine and placebo groups (common odds ratio adjusted for minimisation variables 0·951 [95% CI 0·839–1·079]; p=0·439). Patients allocated fluoxetine were less likely than those allocated placebo to develop new depression by 6 months (210 [13·43%] patients vs 269 [17·21%]; difference 3·78% [95% CI 1·26–6·30]; p=0·0033), but they had more bone fractures (45 [2·88%] vs 23 [1·47%]; difference 1·41% [95% CI 0·38–2·43]; p=0·0070). There were no significant differences in any other event at 6 or 12 months. Interpretation Fluoxetine 20 mg given daily for 6 months after acute stroke does not seem to improve functional outcomes. Although the treatment reduced the occurrence of depression, it increased the frequency of bone fractures. These results do not support the routine use of fluoxetine either for the prevention of post-stroke depression or to promote recovery of function. Funding UK Stroke Association and NIHR Health Technology Assessment Programme

    Independent and combined effects of improved water, sanitation, and hygiene, and improved complementary feeding, on child stunting and anaemia in rural Zimbabwe: a cluster-randomised trial.

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    BACKGROUND: Child stunting reduces survival and impairs neurodevelopment. We tested the independent and combined effects of improved water, sanitation, and hygiene (WASH), and improved infant and young child feeding (IYCF) on stunting and anaemia in in Zimbabwe. METHODS: We did a cluster-randomised, community-based, 2 × 2 factorial trial in two rural districts in Zimbabwe. Clusters were defined as the catchment area of between one and four village health workers employed by the Zimbabwe Ministry of Health and Child Care. Women were eligible for inclusion if they permanently lived in clusters and were confirmed pregnant. Clusters were randomly assigned (1:1:1:1) to standard of care (52 clusters), IYCF (20 g of a small-quantity lipid-based nutrient supplement per day from age 6 to 18 months plus complementary feeding counselling; 53 clusters), WASH (construction of a ventilated improved pit latrine, provision of two handwashing stations, liquid soap, chlorine, and play space plus hygiene counselling; 53 clusters), or IYCF plus WASH (53 clusters). A constrained randomisation technique was used to achieve balance across the groups for 14 variables related to geography, demography, water access, and community-level sanitation coverage. Masking of participants and fieldworkers was not possible. The primary outcomes were infant length-for-age Z score and haemoglobin concentrations at 18 months of age among children born to mothers who were HIV negative during pregnancy. These outcomes were analysed in the intention-to-treat population. We estimated the effects of the interventions by comparing the two IYCF groups with the two non-IYCF groups and the two WASH groups with the two non-WASH groups, except for outcomes that had an important statistical interaction between the interventions. This trial is registered with ClinicalTrials.gov, number NCT01824940. FINDINGS: Between Nov 22, 2012, and March 27, 2015, 5280 pregnant women were enrolled from 211 clusters. 3686 children born to HIV-negative mothers were assessed at age 18 months (884 in the standard of care group from 52 clusters, 893 in the IYCF group from 53 clusters, 918 in the WASH group from 53 clusters, and 991 in the IYCF plus WASH group from 51 clusters). In the IYCF intervention groups, the mean length-for-age Z score was 0·16 (95% CI 0·08-0·23) higher and the mean haemoglobin concentration was 2·03 g/L (1·28-2·79) higher than those in the non-IYCF intervention groups. The IYCF intervention reduced the number of stunted children from 620 (35%) of 1792 to 514 (27%) of 1879, and the number of children with anaemia from 245 (13·9%) of 1759 to 193 (10·5%) of 1845. The WASH intervention had no effect on either primary outcome. Neither intervention reduced the prevalence of diarrhoea at 12 or 18 months. No trial-related serious adverse events, and only three trial-related adverse events, were reported. INTERPRETATION: Household-level elementary WASH interventions implemented in rural areas in low-income countries are unlikely to reduce stunting or anaemia and might not reduce diarrhoea. Implementation of these WASH interventions in combination with IYCF interventions is unlikely to reduce stunting or anaemia more than implementation of IYCF alone. FUNDING: Bill & Melinda Gates Foundation, UK Department for International Development, Wellcome Trust, Swiss Development Cooperation, UNICEF, and US National Institutes of Health.The SHINE trial is funded by the Bill & Melinda Gates Foundation (OPP1021542 and OPP113707); UK Department for International Development; Wellcome Trust, UK (093768/Z/10/Z, 108065/Z/15/Z and 203905/Z/16/Z); Swiss Agency for Development and Cooperation; US National Institutes of Health (2R01HD060338-06); and UNICEF (PCA-2017-0002)

    Essay Review: Africa Works: Disorder as political instrument

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    Just Joking? Investigating Sexual Harassment in a

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    This study investigates the reasons for sexual harassment, its nature and policy implications in a departmental store in Gweru, Zimbabwe. It also analyses the costs of sexual harassment on both the individual and the organisation. The study is based on a qualitative research conducted between January and July 2008. 24 respondents (14 females and 10 males) were studied using semi structured interviews and questionnaires. Results are analysed using the Miles and Huberman (1994) approach to data analysis. Results reveal that contract employment and lack of skills create vulnerability and dependency, a situation exploited by the powerful male superiors who sexually harass their subordinate females. Sexual harassment is institutionalised at Tatenda where management refuses to acknowledge it as a problem. The reluctance of management to craft policies on sexual harassment and grievance procedures added to women’s fear of reporting sexual harassment perpetuates a culture of silence at Tatenda.Key words: department store; female employees ;humour; jokes; labour turnover; sexual harassment; target.

    Challenges faced by L1 Shona teachers teaching English to L1 Tonga Primary School students: a case of Nenyunka Primary School.

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    This research project was an endeavor to map out the challenges that L1 Shona teachers faced when teaching English to L1 Tonga students with special reference to Nenyunka Primary School. The researcher used the Case Study design where she used three research instruments namely the questionnaire, interview and the observation. The research focused on 7 infant level teachers and 60 pupils from grades 1-3. The researcher gathered that there was a learning barrier between the teachers and their pupils due to the reason that their mother tongue languages were different. The researcher also gathered that due to the learning barrier, pupils developed a negative attitude towards English and also poor language use in English. The researcher recommends that the language policy on language of instruction in the teaching of infants should be practical and not a ‘paper policy’ so that children can be taught in their mother tongue. The researcher also recommends that textbooks should be written to in cooperate indigenous languages like Tonga and other minor local languages. The researcher also recommends that teachers should be trained in different local languages like Tonga, Venda, Shangani to name just a few

    Extraction of silica gel from Sorghum bicolour (L.) moench bagasse ash

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    Sweet sorghum (Sorghum bicolor (L.) moench), a crop that is grown by subsistence farmers in Zimbabwe was used to extract silica gel in order to assess its possible use as a raw material for the production of silica-based products. The gel was prepared from sodium silicate extracted from sweet sorghum bagasse ash by sodium hydroxide leaching. Results show that maximum yield can be obtained at pH 5 and with 3 M sodium concentration. The silica gel prepared at optimum pH 5 had a bulk density of 0.5626 g/cm3 and anestimated porosity of 71.87%. Silica gel aged over 10 h had improved moisture adsorption properties. X-ray fluorescence (XRF) determinations show that the silica content in the ash is 40.1%. Characterization of sweet sorghum ash and silica gels produced at pH 5, 7 and 8.5 by Fourier Transform Infrared spectroscopy gave absorption bands similar to those reported by other researchers.Transmission electron micrographs show that silica prepared under optimum conditions is amorphous and consisted of irregular particles. Sweet sorghum proved to be a potential low cost raw material for the production of silica gel
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